Repair of pulmonary artery sling with tracheal and intracardiac defects.
Abnormalities, Multiple
Child
Child, Preschool
Female
Heart Defects, Congenital
/ diagnostic imaging
Humans
Male
Postoperative Complications
/ mortality
Pulmonary Artery
/ abnormalities
Replantation
/ adverse effects
Retrospective Studies
Risk Assessment
Risk Factors
Time Factors
Tracheal Stenosis
/ diagnostic imaging
Treatment Outcome
Vascular Malformations
/ diagnostic imaging
Abnormalities
cardiopulmonary bypass
infant
multiple
pulmonary artery
tracheal stenosis
Journal
Asian cardiovascular & thoracic annals
ISSN: 1816-5370
Titre abrégé: Asian Cardiovasc Thorac Ann
Pays: England
ID NLM: 9503417
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
pubmed:
14
7
2020
medline:
11
11
2020
entrez:
14
7
2020
Statut:
ppublish
Résumé
Pulmonary artery sling is commonly associated with tracheal stenosis and intracardiac anomalies. While surgical repair is standardized, coexistent anomalies often determine outcomes. With the paucity of risk stratification, this study aimed to review our experience and stratify risk factors for the surgical outcome of complex pulmonary artery sling repair in the presence of airway or intracardiac lesions. Seventy-nine consecutive children with pulmonary artery sling were evaluated retrospectively following surgical repair. Median age at surgery was 5 months (interquartile range 3-9). Surgical approaches included pulmonary artery sling alone ( There were 7 early (8.8%) deaths. Two patients after left pulmonary artery reimplantation needed revision of the anastomosis. The median intensive care and hospital stay were 11 (interquartile range 9.2-24.8) and 17.9 (interquartile range 4.3-19.8) days, and considerably longer when associated tracheal surgery ( Complex pulmonary artery sling repair can be performed with a good surgical outcomes even when associated with airway malformations or structural heart diseases. Lung abnormality and longer cardiopulmonary bypass time as a surrogate marker of complex surgery, are possible risk factors.
Sections du résumé
BACKGROUND
BACKGROUND
Pulmonary artery sling is commonly associated with tracheal stenosis and intracardiac anomalies. While surgical repair is standardized, coexistent anomalies often determine outcomes. With the paucity of risk stratification, this study aimed to review our experience and stratify risk factors for the surgical outcome of complex pulmonary artery sling repair in the presence of airway or intracardiac lesions.
METHODS
METHODS
Seventy-nine consecutive children with pulmonary artery sling were evaluated retrospectively following surgical repair. Median age at surgery was 5 months (interquartile range 3-9). Surgical approaches included pulmonary artery sling alone (
RESULTS
RESULTS
There were 7 early (8.8%) deaths. Two patients after left pulmonary artery reimplantation needed revision of the anastomosis. The median intensive care and hospital stay were 11 (interquartile range 9.2-24.8) and 17.9 (interquartile range 4.3-19.8) days, and considerably longer when associated tracheal surgery (
CONCLUSION
CONCLUSIONS
Complex pulmonary artery sling repair can be performed with a good surgical outcomes even when associated with airway malformations or structural heart diseases. Lung abnormality and longer cardiopulmonary bypass time as a surrogate marker of complex surgery, are possible risk factors.
Identifiants
pubmed: 32659103
doi: 10.1177/0218492320943342
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM